Individual
MRS. KENYADA SE.COYA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2487 E 84TH ST, CLEVELAND, OH 44104-2207
(216) 862-2388
Mailing address
2487 E 84TH ST, CLEVELAND, OH 44104-2207
(216) 862-2388
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501127700606
OH
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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